An older client with lethargy and a headache has dry mucous membranes, sunken eyes, skin tenting over the sternum, and is oriented to person and place. Which health problem should the nurse suspect this client is experiencing?
a. Xerostomia
b. Edentulism
c. Dehydration
d. Constipation
c. Dehydration
The client's symptoms indicate dehydration in an older client. Edentulism is missing or loose teeth. Xerostomia is insufficient saliva production. Severe dehydration may a precipitating factor for constipation.
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A nurse is performing an initial assessment on a new admission. Which of the following is part of the database? (Select all that apply.)
______ Reports from physical therapy the client received as an outpatient ______ Documentation of the nurse's physical assessment ______ Physician's orders ______ A list of current medications ______ Information about the client's cultural preferences ______ Discharge instructions
A nurse is assessing the potential risk factors a patient may have for falling. Which two major factors cause falls?
a. Mental and emotional factors b. Aging and physical factors c. Genetic and environmental factors d. Intrinsic and extrinsic factors
A nurse is mediating a family meeting with an older adult and four grown children
One daughter, who has three small children of her own, keeps volunteering to do tasks until she has agreed to do about 90% of what is needed for the older adult. What action by the nurse is best? a. Praise the daughter for being so willing to do so much for her father. b. Ask the other children why they are so unwilling to help out. c. Ask the daughter if she can realistically accomplish all these items. d. Tell the daughter that she is unable to do all these things and to delegate.
When a patient tells a nurse, "I think I'm impotent," which response by the nurse would be most therapeutic?
a. "That must be very scary for you.". b. "How is your overall health?" c. "What medications are you currently taking?" d. "Please tell me what you mean by ‘impotent.'"